Provider Demographics
NPI:1770069833
Name:DA SILVA, SUNAMITA (RDN, PA-C)
Entity type:Individual
Prefix:
First Name:SUNAMITA
Middle Name:
Last Name:DA SILVA
Suffix:
Gender:F
Credentials:RDN, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10770 COLUMBIA PIKE STE 400
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4462
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10801 LOCKWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1562
Practice Address - Country:US
Practice Address - Phone:301-593-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC0009468OtherMARYLAND BOARD OF PHYSICIANS
1214098OtherNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
86040304OtherCOMMISSION ON DIETETIC REGISTRATION